The Association between Organizational Factors of Health Promoting Schools and Teachers' Health Lifestyles

A Multilevel Analysis

Bibliographic Data

ID21354292
AuthorsDih‐Ling Luh (0000-0002-3122-060X, Department of Public Health, Chung Shan Medical University; Department of Family and Community Medicine Chung Shan Medical University Hospital Taichung 402 Taiwan), Hsiao‐Ling Huang (0000-0002-1180-9011, Department of Oral Hygiene Kaohsiung Medical University Kaohsiung Taiwan), Shy‐Yang Chiou (Department of Leisure Industry and Health Promotion National Ilan University Ilan Taiwan), Kai‐Yang Lo (Center for Physical and Health Education, National Sun Yat‐Sen University Kaohsiung 804 Taiwan), Fu‐Li Chen (0000-0002-3869-1631, Department of Public Health Fu‐Jen Catholic University, No. 510, Zhongzheng Road, Xinzhuang New Taipei City Taiwan, corresponding author)
Year2025
Volume95
Issue2
Pages126-133
Publication date2025-02-01
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.13523
PMID39462219
OpenAlexW4403796416
LanguageEN
Citations received2
References cited30

BACKGROUND: Schools are both learning environments for students and workplaces for faculty. Recognizing the role of organizational factors in staff health in school environments, the study aimed to explore which factors, including transformational leadership, teachers' perceived management support and HPS accreditation awards, were most associated with promoting a healthy lifestyle for teachers. METHODS: A cross-sectional study was undertaken of 137 elementary schools in 2014, involving 433 directors and 2090 teachers. Data were collected using an anonymous structured questionnaire. Hierarchical linear modeling was used to analyze both teacher- and school-level factors associated with health-promoting lifestyles. RESULTS: There was a significant positive correlation between teachers' overall health-promoting lifestyle profile (HPLP-II) scores and both perceived management support (coefficient = .98, p < .001) and transformational leadership (coefficient = .38, p = .039). All 6 HPLP-II subscales also showed significant positive correlations with perceived management support (coefficients .12-.24, p < .001). CONCLUSION: Supporting a healthy working atmosphere and strong principal transformational leadership are keys to enhancing teachers' health-promoting lifestyles. Future research could explore how transformational leadership and management support influence teachers' health behaviors and identify effective strategies and interventions.

Health promotion · Medical education · Multilevel model · Psychological intervention · Public health · Transformational leadership · Health and Wellbeing Research · Medicine · Nursing · Psychology · School Health and Nursing Education · Social Psychology · Workplace Health and Well-being

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